十二指肠克罗恩病:病例报告和系统审查
Muniratu Amadu1, Jonathan Soldera2
1Department of Gastroenterology, University of South Wales, Cardiff CF37 1DL, United Kingdom.
World journal of methodology
|April 5, 2024
概括
诊断十二指甲状腺克罗恩病 (DCD) 是具有挑战性的,因为它是罕见的,经常无症状的呈现. 通过先进的成像和内镜早期检测对于更好的患者结果和炎症性肠道疾病的预后至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 内部医学 内部医学
- 消化系统疾病 消化系统疾病
背景情况:
- 炎症性肠病 (IBD) 包括诸如性结肠炎,显微结肠炎和克罗恩病 (CD) 等疾病.
- 十二指肠克罗恩病 (DCD) 是一种罕见的影响十二指肠的CD亚型,由于其不常见和无症状性质,导致诊断困难.
- 延迟诊断DCD可能会对患者的预后和幸福感产生负面影响.
研究的目的:
- 为了呈现一个十二指肠克罗恩病的病例.
- 探索与DCD相关的诊断挑战.
- 讨论DCD诊断对患者预后的影响.
主要方法:
- 根据PRISMA声明,进行了系统的文献搜索.
- 通过使用包括PubMed/MEDLINE在内的主要数据库中的医学科目术语 (MeSH) 确定了相关研究.
- 数据从放射学,内镜,活检和组织病理学发现中收集.
主要成果:
- 该审查分析了8个病例报告和1个观察性研究,共44名DDC参与者.
- 在一些参与者中,由于DCD诊断延迟,出现了并发症.
- 诊断方法包括MRI,CT,X射线,结肠镜检查,食管胃管腺镜检查,活检和临床评估,因为没有黄金标准.
结论:
- 讨论了DCD的诊断挑战,强调了CT,MRI和光镜的作用和局限性.
- 研究结果与内镜和组织病理学结果进行了比较.
- 建议进行进一步的研究,以加强DCD诊断,特别是在常规内镜期间的高风险患者中,重点是扫描解释和程序技术.
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